| NPI | 1710377270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 3298) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3258) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2018-06-12 |